Posts Tagged ‘NHS’

On living in Thatcher’s Britain

June 28, 2017

Unashamedly political post follows: you have been warned.

I had planned to write on this theme before the recent election; I think it’s just as relevant now. I can’t believe I’m watching the madness they call Brexit, reading about the obscenities of the Grenfell Tower fire and countless other craziness. I have long felt that many of the things that are wrong with our country can be ascribed to Thatcher’s Britain: her evil legacy has infected us for years and will continue to plague for years to come.

Let’s be clear what I mean here: she said that there is no such thing as society. I’m not interested in the semantics of what she actually meant by it, because her attitude and the attitudes of those who latched on to her words and have shaped Britain for the last forty years are self-evident. She unleashed a culture of ‘me first’, of the worst kind of selfishness: I have money and I can do what I want with it, so get out of my way…

There is no sense of duty or responsibility to poorer members of society, to the old, the sick, those without work; in the harshest possible Calvinistic manner, it’s all their fault, and they should do something about it. We thought such attitudes had long gone after the post-war settlement and the advent of the NHS and the Welfare State, but instead Thatcherism has taught two generations to despise what was built then, and done incalculable physical and moral damage to our society (yes, society!).

It seems plain to me that if we are expected to feel any sense of loyalty to our state or our country (however you want to look at it) then it should give one the feeling of having something to feel loyalty towards. If the state wants the loyalty of its citizens, then it has a duty to ensure that everyone has access to affordable housing and healthcare, fuel, water, education and modern communications, to enable them to feel secure first… such things as these, which everyone needs, should not be provided by those who put the profit motive before everything else. If the state makes a loss providing these, then taxpayers will pay more to make up the shortfall; if the state makes a profit then we all benefit from lower taxes.

Our national infrastructure is gradually falling to bits; large parts of it have been sold to other countries, who subsidise their countries from the profits they make from us… can this possibly make sense?

To me, a child of the Welfare State and proud of it, the above seems obvious. But there are many millions who now don’t understand it. As a nation we have always expected to have things on the cheap – firstly from living off the backs of colonies and empire, then from the supposed benefits of ‘privatisation’. I cannot believe that so many people are thrilled with spending considerable amounts of time and energy trying to find the best ‘deal’ when buying gas, electricity, a train ticket, a phone or internet contract, without ever being sure that they have succeeded… saving a few pounds here and there, perhaps, whilst ensuring that the fat cats get richer and richer from the proceeds. I’ve better things to do with my time, and actually long for the days when the state supplied these utilities, and I paid and got on with my life…

We are told that the 1960s and 1970s were a period of chaos, almost anarchy, when the trade unions wrecked the country. That’s not the country I remember; I remember a more caring and rather more unified society, where the poor and the sick and the unemployed were not vilified for what they could not help and often had not brought on themselves. Now I’m living in a time of chaos and anarchy, with big business and the Conservative (ha, ha, fine choice of word, that one!) party busy doing far more harm than any trade union ever did. I’m grateful that my trade union fought for semi-decent working conditions and a reasonable pension which I can now enjoy, and think that rather more people need to take up that fight again today.

I have been heartened by some of the outcomes of the election and begun to think that perhaps almost enough people are fed up of the meanness, the divisiveness, the greed and the squalor that Thatcherism has brought to this country. We shall see; I’m not holding my breath, but it would be nice to spend my declining years in a rather fairer and happier place than today’s Britain.

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Do we still want the NHS?

May 25, 2017

Unashamedly political post follows…you have been warned.

As a nation I feel we’ve shot ourselves in both feet voting to leave the EU; I’m sure it will happen and we will be able to repent at leisure. But, for my money, the biggest error is one we are making through neglect, or ignorance: the loss of the NHS.

Think about this: the Tories have been in power for seven years, during which time they have, in a drip-feed manner, made the NHS less effective through constant re-organisation and underfunding, brought in more profit-making private providers, and under-resourced it. There is a constant trickle of stories about clinical errors, longer waiting lists, people ‘wasting’ NHS time and resources: the right-wing press is doing its bit in undermining a national resource.

Over time, the gradual – and, I think deliberate – effect of this is to make more and more people, especially younger people who have never known anything else, or really had to think about healthcare at all, think that the NHS is inefficient, is broken, and cannot cope any more: if this is the case, then – the next stage of the right-wingers’ proposal goes, surely something needs to be done about it… Increasingly the arguments are, well there are more people to treat (especially immigrants and free-loaders from abroad), people are living much longer and therefore need care for much longer, and treatment is increasingly technological and expensive. Of course, a state-provided service can’t possibly deliver all this, it is suggested…

And so, when the Tories decide they can be bold enough to suggest privatising parts or the whole thing – in the interests of giving people better care, of course – enough people may believe them, and allow them to get away with it. And there will be the mantra that the NHS will always be free ‘at the point of delivery’ (whatever that means. Does anyone know?). Perhaps GP visits and A&E will be free, and beyond that, one will have to pay or take out additional insurance.

The great majority of British people have been born and have grown up looked after by the NHS, and have taken it for granted all their lives. We know nothing about how alternative systems work or what they cost – though again we are often told (by whom?) how much better other countries’ health care is than our own – though we may have heard horror stories from the USA, but we’d never end up with that, would we? Hmm. How much time do you want to spend comparing health plans, costs and so on to make sure you have the right deal? But then, since the privatisation of everything else, we have a generation used to doing cost-comparisons on websites for train tickets, energy, broadband: maybe people won’t mind. And if they can get a bargain…

Should you be worried? Well,if you’re inexorably moving towards old age, if the system that’s looked after you throughout your life disappears, what do you do instead? If you don’t have the disposable income to fund private healthcare? Of course, the pill can be sugared: look, we’ll reduce National Insurance payments when we sell-off the NHS, so you can now choose (magic word, there!) your own provider, and how much to spend…

The profit motive is expensive: profit has to be factored into the cost of everything. Of course, allegedly private enterprise is more efficient (it has done wonders for our railways, after all), so will be cheaper. I have to say, if I were seriously ill, in need of major surgery or intensive care, efficiency would not be my first criterion. Skill, care, empathy, things like those would be at the top of my list.

Declaration of interest: my mother was one of the first cohort of nurses to be trained by the infant NHS, and I have a sister who currently works for the NHS. If asked, I’d be hard-pressed to think of any contemporary aspect of our country that I’m prouder of than our health service. And plenty of other countries actually envy us. Give the Tories another five or ten years, and will we still have the NHS? Do enough people actually care?

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